私人诊所,私人保险和私人付费精神卫生服务:在实施科学领域的一个不够研究的领域
Hannah E Frank1, Gracelyn Cruden2, Margaret E Crane1
1Department of Psychiatry and Human Behavior, The Warren Alpert Medical School of Brown University, Providence, RI, USA.
需要进行研究,以改善私人诊所的心理健康服务. 实施科学可以识别障碍和策略,以提高护理的质量和负担能力,解决劳动力短缺问题.
科学领域:
- 实施科学 实施科学
- 心理健康服务研究 心理健康服务研究
- 卫生服务管理卫生服务管理
背景情况:
- 在私人诊所环境中,精神卫生提供者独立于医疗保健系统运作,研究不足.
- 私人实践在接受保险 (私人/公共) 和支付模式 (私人支付) 上有所不同.
- 在劳动力短缺和等待名单的情况下,解决私人实践对于公平的心理健康准入至关重要,与联邦平等和降低成本的目标保持一致.
研究的目的:
- 突出心理健康护理中研究不足的私人实践环境.
- 建议使用实施研究综合框架 (CFIR) 2.0提出研究问题,以解决这一差距.
- 刺激研究和资金,以改善私人实践服务的可用性,质量和负担能力.
主要方法:
- 使用实施研究综合框架 (CFIR) 2.0作为决定性框架.
- 提出跨CFIR领域的研究问题:外部环境,个人,创新特征,内部环境和实施过程.
- 专注于影响保险接受的因素,提供者经验,干预适当性,组织特征和可持续性.
主要成果:
- 确定了私人实践精神卫生部门的关键研究缺口.
- 提出了具体的研究问题,以调查服务可用性和质量的决定因素.
- 突出了实施科学的潜力,以解决高质量,负担得起的护理障碍.
结论:
- 实施科学镜头对于理解和改进私人心理健康护理至关重要.
- 解决研究缺口可以提高服务的质量,负担能力和可访问性.
- 需要进一步的研究和资金来优化私人诊所的心理健康服务.
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